…personnelAbility to collaborate with internal colleagues in sales, marketing, and managed care accountsAbility to deliver scientific and clinical presentations

… care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral

…a clinical setting required. 2 years' experience as a Utilization Management nurse in a managed care payer preferred.One year experience as a case manager in a

…as defined by the Medical Staff Bylaws.Must meet all NYS Medicaid Managed Care requirements.Comfortable with paperless EMR systemTimings:Work hours (may change

…degree (post-graduate professional degree a plus)Minimum of three years experience in managed care or contracting, on behalf of either a payor

…it relates to medical record documentation. Maintains current knowledge of applicable managed care , Medicare, and state Medicaid regulations. Maintains current

…with 3 or more years of experience in provider contract negotiations in a managed care environment; or an equivalent combination of education and experience.Some

…or physician services through the analysis of reimbursement methodologies (DRG's, Medicare/Medicaid, Managed Care , per diem, etc.) and operational data for the

…process including pre-registration and insurance verification. Stays informed of changes in managed care and communicates procedural and financial impact to

…or affiliated hospitals, a nursing home, ambulatory care facilities, home health care , physician practices, managed care services, a cancer center and